| NPI | 1073809372 |
|---|---|
| Former Name | MICHELLE L. BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16298) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 72210) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2020-05-18 |